Influence of Cognition on Length of Stay and Rehospitalization in Older Veterans Admitted for Post-Acute Care

Julija Stelmokas; Amber D. Rochette; Robert Hogikyan; Katherine A. Kitchen Andren; Jaclyn Reckow; Alexandra Sciaky; Linas A. Bieliauskas; Neil B. Alexander

doi:10.1177/0733464819853989

June 6, 2019Journal of Applied Gerontology

Influence of Cognition on Length of Stay and Rehospitalization in Older Veterans Admitted for Post-Acute Care

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Key Points

Evaluate the relative contribution of cognitive test performance to post-acute care length of stay and rehospitalization while controlling for demographic, medical, and functional covariates.
Retrospective medical record review of 160 older veterans admitted to a Veterans Administration Hospital Community Living Center for post-acute care.
Assessed admission cognitive performance using the Addenbrooke's Cognitive Examination-Revised (ACE-R) alongside activities of daily living dependency and medical variables.
Key medical factors explained the largest share of variance in length of stay (29.8%), followed by admission dependency in activities of daily living (4.6%) and ACE-R total score (3.30%).
Lower baseline performance on the ACE-R independently predicted poor rehabilitation outcomes, specifically longer post-acute care stays and higher risk of rehospitalization.

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Implication

Retrospective chart review demonstrates that cognitive impairment predicts longer post-acute stays and rehospitalization in older veterans, highlighting the utility of routine cognitive screening.

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Cite This Study

Stelmokas et al. (2019) studied this question.

synapsesocial.com/papers/6aaa2166f8c08cbefbf6c237 https://doi.org/10.1177/0733464819853989

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Influence of Cognition on Length of Stay and Rehospitalization in Older Veterans Admitted for Post-Acute Care

Key Points

No abstract yet

Implication

Discussion

Cite This Study

Influence of Cognition on Length of Stay and Rehospitalization in Older Veterans Admitted for Post-Acute Care

Key Points

No abstract yet

Implication

Discussion

Cite This Study

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